Blood test, vitamin D
Facility: Clara Barton Hospital
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $193
- Cash Discount Price: $112
- vs. Medicare Baseline: 6.52x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $29.6 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 652% of the Medicare baseline (a markup of 552%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| 6 Degrees Health - All Plans | $32 - $193 | 108% |
| Wppa-All Plans | $36 - $221 | 122% |
| Phcs - All Plans | $40 - $248 | 135% |
| Aetna | $40 - $248 | 135% |
| UnitedHealthcare | $40 - $248 | 135% |
| Hlth Partners Of Ks-All Plans | $41 - $254 | 139% |
| Blue Cross Blue Shield | $216 | 730% |
Consumer Guidance & Cost Commentary
For the CPT code 82306 (Blood test, vitamin D) at Clara Barton Hospital in Hoisington, KS, the facility's cash median price of $112.00 is notably lower than the state average for this service. While the hospital's negotiated rates with major payers like 6 Degrees Health and Wppa range from $32 to $221, these amounts often exceed the cash price, making self-pay a potentially more economical option for patients with high-deductible plans. It is important to note that the facility's cash rate is also lower than the Medicare benchmark of $29.60 when adjusted for the facility's specific cost structure, though commercial negotiated rates typically run higher due to administrative overhead. Patients should verify their specific plan's deductible status before relying on insurance, as paying the negotiated rate without meeting the deductible could result in higher out-of-pocket costs than paying cash directly.
To ensure you are not overcharged, it is recommended to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. If you receive a surprise balance bill from an out-of-network provider, you may be entitled to protections under the No Surprises Act, which bans balance billing for emergency care and non-emergency services at in-network facilities. Additionally, ask the hospital about prompt-pay discounts, which can reduce the bill by 20% to 50% if paid in full upfront, bypassing the costly claims processing cycle that inflates insurance rates. Always dispute any unexpected charges in writing rather than accepting summary bills or verbal settlements to protect your rights and minimize medical debt.